Guilliams, Evin Lake

Guilliams, Evin Lake is an sole proprietor health care provider with primary practice located at 800 Prudential Dr Ste 1100 , Jacksonville FL 32207-8202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Guilliams, Evin Lake can be contacted via phone (904) 388-6518.

Contact Information

Primary practice address
800 Prudential Dr Ste 1100 Jacksonville FL 32207-8202
Fax: (904) 384-1005
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X OS21210 Florida

Profile Details

NPI number 1497287734
LBN Legal business name Guilliams, Evin Lake
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2017
Last updated Jul 8th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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